Inactivated/Replace Test

Effective Date

06/19/2026

Inactivated Test Details

Mnemonic

HIVA

Ordering Code

3010685

CPT-4 Codes(s)

87389, plus 86701, 86702 if reflexed to Differentiation, at additional cost

Replacement Test Details

Mnemonic

HIV4G

Ordering Code

3401163

CPT-4 Codes(s)

87389, plus 86701, 86702 if reflexed to Differentiation; plus 87535, 87538 if reflexed to PCR at additional charges

Turnaround Time
3-6 days
Performed
Monday – Saturday
Legacy Code
HIV4G
Example Report

Specimen Information

Collect

Red top

Specimen Preparation

Allow sample to clot. Centrifuge, separate serum from cells after clotting. Send 3.0 mL serum in a screw capped plastic vial.

Alternate Specimen

Serum separator tube (SST)
Plasma: Lavender EDTA

Minimum Volume

2.0 mL

Transport Temperature

Refrigerated

Rejection Criteria

Gross hemolysis

Stability

Room temperature: 72 hours
Refrigerated: 5 days
Frozen: 30 days

Methodology

Immunoassay (IA)
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Reference Range

HIV Final Interpretation: See report
HIV Ag/Ab, 4th Gen: Non-Reactive
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Performing Laboratory

Quest
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New York DOH Approval Status

Yes
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